Abstract
By 2050, it is predicted that six million hip fractures will occur each year of which the majority will happen in Asia. Malaysia is not spared from this predicted rise and its rate of increase will be one of the highest in this region. Much of this is driven by our unprecedented growth in the number of older people. Characteristics of individuals with hip fractures in Malaysia mirror what has been reported in other countries. They will be older multimorbid people who were already at risk of falls and fractures. Outcomes were poor with at least a quarter do not survive beyond 12 months and in those that do survive have limitation in their mobility and activities of daily living. Reviewing how these fractures are managed and incorporating new models of care, such as orthogeriatric care, could address these poor outcomes. Experts have warned of the devastating impact of hip fracture in Malaysia and that prompt action is urgently required. Despite that, there remains no national agenda to highlight the need to improve musculoskeletal health in the country.
Highlights
Hip fracture is the most common fragility fracture in older people[1]
Hip fractures are associated with increased morbidity, disability and mortality[2,3]
A report by the Asian Federation of Osteoporosis Societies have projected that by 2050 there will be a 3.5-fold increase in the number of hip fractures, from 6000 to almost 21,000 fractures occurring annually, costing over USD125 million (MYR540 million) each year in healthcare expenditure[5]
Summary
Ong T1, PhD, Khor HM1, MRCP, Kumar CS1, MS Ortho, Singh S2, MS Ortho, Chong EGM3, MMed, Ganthel K4, MS Ortho, Lee JK5, MS Ortho.
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